Director, Physician Revenue Cycle

The Director of Physician Revenue Cycle Operations is responsible for directing, supervising and coordinating the physician billing functions of the oncology service line, in accordance with health system policies and regulatory requirements. The Director of Physician Revenue Cycle Operations has a matrix relationship to the billing and collections of the technical component billed through the hospital. The Director of Physician Revenue Cycle Operations provides leadership and establishes/promotes achievement of goals to improve the revenue cycle for the entire oncology service line.

This position will work closely with clinical and operations side of the oncology service line to ensure a full continuum of care. Will direct all oncology pre‑services including insurance verification processes, pre‑certifications, and financial navigation. The Director of Physician Revenue Cycle Operations will continually work on process improvement for the oncology revenue cycle.

• Masters - Required
• Major in Accounting, Finance, Business Administration, or Leadership preferred.

• 3-5 Years Work
  
  Experience with in Patient Accounts Setting(s).
  
  - Required
• Three to five years in Management capacity overseeing Physician’s billing, follow‑up and collections, with a good track record in all three areas. Experience with Federal and State Medicare and Medicaid regulations and Managed Care contracting.
• Two to three years’ experience with Physician’s billing, preferably for a multi‑office practice.

• None Required

• Develops, evaluates, and monitors processes to maintain net days in accounts receivable and the percentage of accounts receivable over 90 days at or below established levels.
• Maintains cash receipts cash receipts at 100% or more of the prior month's net revenue.
• Develops, implements and maintains billing, collection, and financial assistance policies to ensure compliant and efficient collections.
• Plans, prepares, implements and evaluates departmental operating and capital budgets; manages departments within planned budgets. Reviews monthly financial performance reports and prepares variance reports. Collaborates with appropriate health system personnel to maintain accurate charging and billing processes for department.
• Achieves days not final billed goals as established. Maintains processes to provide feedback to Patient Financial Services for failed claim edits, denials, audits, and other procedures necessary to achieve financial goals.
• Maintain current knowledge of hospital, state and federal regulations and contractual agreements governing the fiscal aspects of the organization. Demonstrate commitment to personal professional growth through the pursuit of advanced knowledge and skills. Coordinate special projects and assists in program development as indicated and/or directed by CFO.